ADAP Directory

Directory of AIDS Drug Assistance Programs

Arizona

The AIDS Drug Assistance Program ( ADAP ) helps ensure that people living with HIV and AIDS who are uninsured and under-insured have access to medication.

Eligibility Criteria: 
  • Must be inside Arizona.
  • Must be under 400% of the federal poverty level (FPL). Current federal poverty level information can be found here.
  • Proof of HIV diagnosis (required with initial application). 
  • Payer-of-last-resort documentation: Proof that all other forms of insurance and coverage are used before ADAP funds.
    • Denial letter from AHCCCS (Arizona's Medicaid program) if income is below 150% of the FPL.
Application Instructions: 

New ADAP users must complete a Full Application and New Applicant Addendum. See below for all eligibility documents. The application and support documents must be submitted to your Case Manager, sent to eligibility@siren.az.gov or our secure fax at 602-364-3263.

Hepatitis C (HCV) Drug Therapy:

State covers some form of HCV drug therapies as part of their approved drug formularies: Yes

To learn more about what HCV drug therapies are on the drug formulary, please visit tiicann.org/co-infection-watch.html (go to page #7).

Location

Address:
Arizona Department of Health Services
150 N. 18th Ave
Phoenix, AZ 85007

Contact Information

Phone Number: 
800-334-1540 or 602-364-3610.
Fax Number: 
602-364-3263